Related Experiment Video
Updated: Jun 14, 2026
07:51
The C-seal: A Biofragmentable Drain Protecting the Stapled Colorectal Anastomosis from Leakage
Published on: November 4, 2010
Adhesive bowel strangulation after caesarean section, the rare puerperal complication
J Záhumenský1, B Zmrhalová, O Sottner
1Charles University in Prague, University Hospital Na Bulovce, Department of Obstetrics and Gynaecology, Prague, Czech Republic. jozef.zahumensky@gmail.com
Prague Medical Report
|April 3, 2010
Summary
Caesarean sections, while common, carry risks of complications requiring re-laparotomy. This case highlights unusual intestinal complications following the procedure, emphasizing the need for vigilance.
Area of Science:
- Obstetrics and Gynecology
- Surgical Complications
Background:
- Caesarean section is the most frequent abdominal surgery in obstetrics.
- Despite its frequency, caesarean delivery is associated with significant short- and long-term maternal complications.
- Re-laparotomy rates post-caesarean section range from 0.12% to 0.70%.
Observation:
- Common indications for re-laparotomy include intra-abdominal bleeding, uterine atony, eventration, hematoma, and abscesses.
- This report details an uncommon, life-threatening intestinal complication necessitating re-laparotomy after a caesarean section.
- The increasing global rate of caesarean sections necessitates awareness of rare complications.
Findings:
- The case underscores that intestinal complications, though rare, are a potential risk following caesarean delivery.
- Prompt recognition and surgical intervention are crucial for managing severe post-caesarean complications.
Implications:
- Healthcare providers should maintain a high index of suspicion for unusual complications, including intestinal issues, after caesarean births.
- Enhanced vigilance and timely management strategies are essential to improve outcomes for patients experiencing severe post-caesarean morbidity.
- Further research into the incidence and management of rare caesarean-related complications is warranted.
Related Concept Videos
01:07Intestinal Obstruction II: Pathophysiology
Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
01:19Appendicitis
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
01:29Intestinal Obstruction I: Introduction
Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
01:21Inflammatory Bowel Disease V: Surgical Management
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
01:30Esophageal Strictures-I: Introduction
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
01:25Assessment of the Rectum and Anus
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...